Bonnie Jean Waters, RN, BSN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

1128160 Issued in KY

Practice address

4000 Kresge Way
Louisville, KY 40207-4605

Phone

(502) 897-8000

NPI assigned

Feb 9, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1023476744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 KNIGHTSBRIDGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061410",
            "telephone_number": "502-689-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 KRESGE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074605",
            "telephone_number": "502-897-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "KY",
            "license": "1128160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalanda Tena Washington, PHARMD, MS, BCACP
• Mary J Wasielak, LCSW
• Lawrence J Wasser, M.D.
• Kendall Wasz, PA-C
• Maurine Waterhouse, M.D.
• Karen A Waters, MD PHD
• Kristina Michelle Waters, LCSW, LMFT
• Marcie Waters, MA
• Maria Waters
• Valerie Kim Waters, MD

• Emergency Registered Nurse in Louisville, KY
• Providers in Louisville, KY by specialty
• Emergency Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.